174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/26/2017</StartDate>
  <EndDate>02/25/2018</EndDate>
  <DestinationPlan>Germany</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Andres</Firstname>
    <Middlename/>
    <Lastname>Buono-Core Barroilhet</Lastname>
    <Age>30</Age>
    <Dob>08/14/1986</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/26/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>124B Calle Los Rododendros</Address1>
      <Address2>Parque Ivian 1</Address2>
      <Country>Chile</Country>
      <State/>
      <City>Puerto Varas</City>
      <Postcode>5550000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>a.buono.core.b@gmail.com</Email>
    <Phone>
      <Home>0984829850</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Maria Ignacia Barroilhet</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5217291356565807</CreditcardNumber>
      <NameonCreditcard>Andres  Buono-Core Barroilhet</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>328.5</CreditcardAmount>
      <CreditcardCodeNumber>636</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c3c20642
ARS-01-0029774
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0029774</PolicyNumber><UserName>c3c20642</UserName><Password>c3c20642</Password></PolicyDetails></RegistrationRes>